Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 017174 | NY |
Y | 103TC0700X | Clinical Psychologist | 017174 | NY |
N | 102L00000X | Psychologist | 017174 | NY |
N | 103T00000X | Psychologist | 017174 | NY |
NPI | 1013109230 |
---|---|
Provider Name | Dr. Adam M. Brickman |
First Address | New York, NY 10040-3954 |
Second Address | New York, NY 10040-3954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2007 |
Last Update Date | 11/08/2007 |